If you are a Christian Single Adult in USA
or Canada and would like to receive e-mail notification about
Christian single adult events or other information that may interest Single to Single Again Adults, All Ages, please feel free to submit the form below.
This list will be maintained by the Director of the Activities/Events
and Christian Singles Groups web site. Notification about events may also be received from churches and other ministries. At this time, e-mail notification may include single adult events mostly in northeast USA. Event locations are generally Long Island, NY metro, NJ and PA. The intent is for events e-mails to be received with regard to your county and state (USA) or province (Canadian) based on your (local/regional/national/international) geographic preferences that you indicate below upon submission of this form. (Be sure to check or uncheck (local/regional/national/international) geographic preferences below for receiving events that may pertain to your county and state/province.)

All required fields must
be completed for this form to be submitted.

Contact Information:

* PLEASE NOTE: Fields with '*' are required.

* Email Address:

* Last Name:

* First Name:

Street or P.O. Box:

(optional)

Line 2:

(optional)

* City:

* State /
Possession / Province:

* Zip Code
/ Postal Code:

* County:

* Country:

Telephone:

* Age Group:

18-25
26-35
36-45
46-55
56-65
65+

* Male / Female:

Male
Female

Distance you are willing to travel to a single adult event: (Local / Regional / National / International) ?
Regional event -->Commute up to about 300 miles by car such as a retreat or conference event.
National USA / National Canada event --> Geographic location may require air travel.
International event --> Geographic location most likely requires air travel.

Geographic area for receiving
event information (such as retreats/conferences):Check all that apply:Local
Regional National:
USA
Canada
InternationalLocal and Regional are checked by default. Check or uncheck as applicable.

Receive e-mail about upcoming
Christian single adult 3-8 day cruises:

Yes

Name
of Church or Organization, City, State, Zip:(maximum
250 characters)